Active NPI
Alan A. Brustein, D.C.
- Sports Physician Chiropractor
- Boca Raton, FL
National Provider Identifier
1437190055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- CH6610
- Practice address
- 499 NE Spanish River Blvd
Boca Raton, FL 33431-4536 - Phone
- (561) 338-5111
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | CH6610 | FL | Primary |
Addresses
Primary practice location
499 NE Spanish River Blvd
Boca Raton, FL 33431-4536
Mailing address
499 NE Spanish River Blvd
Boca Raton, FL 33431-4536
Phone (561) 338-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55363Z | Other | FL | MC DR.# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH6610 | FL | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boca Back and Neck Center Inc | Current | Accepting new patients |
Locations
499 NE Spanish River Blvd
Boca Raton, FL 33431
Phone (561) 338-5111
500 NE Spanish River Blvd
Ste 35
Boca Raton, FL 33431
Phone (561) 338-5111
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Boca Raton, FL
- NPI 1508042532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1437190055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 NE SPANISH RIVER BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314536",
"telephone_number": "561-338-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 NE SPANISH RIVER BLVD",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314536",
"telephone_number": "561-338-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSTEIN",
"first_name": "ALAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "FL",
"license": "CH6610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC DR.#",
"identifier": "55363Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.